go back

Factor VIII (Xyntha) Injection

Illinois rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Rates data updated October 2026.

How much does Xyntha cost?

$1.58per IU

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1.58 for each IU of this drug. The price depends on where it is billed: about $1.48 from a physician practice, and about $2.75 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$1.48
At a hospital outpatient department
$2.75

The same drug, in the same amount, costs 86% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.48$1.38 to $2.04
FacilityA hospital or hospital-owned outpatient department$2.75$1.91 to $4.90

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $7Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10facility $3professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.38
Median
$1.51
Typical High
$5.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.38
Median
$1.38
Typical High
$1.41
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$5.25
Typical High
$10.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.86
Median
$2.75
Typical High
$3.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.38
Median
$1.38
Typical High
$1.38
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1.41
Median
$2.04
Typical High
$2.57
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
United
Setting
Facility
Modifier
None
Typical Low
$1.38
Median
$1.38
Typical High
$3.09
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.48
Typical High
$1.58

Where Illinois sits

The same service costs 1.7 times more in Arizona than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 14th of 51

$1.58

AZ $2.40PA $1.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.